Billing Claims Specialist | Insurance Specialist | Order Management
Bulacan
Insurance and financial operations professional with experience in agency billing, accounts receivable, insurance claims processing, and insurance servicing. Skilled in client invoicing, payment application, commission processing, credit management, premium financing, and claims documentation review. Proficient in Applied EPIC, FTNI, WRAP, GCR, and Guidewire ClaimCenter. Processed over million in invoices within three months while consistently ranking among the top performers in monthly invoicing production.
iSupport Worldwide - Hub International Client, full_time
Apr 2025 to Oct 2026
Processed agency-billed insurance transactions, including new business, renewals, endorsements, and audit premiums. Reviewed carrier invoices submitted by service teams through WRAP and generated corresponding client invoices, incorporating applicable HUB International commissions. Verified invoice details, insurance premiums, commission calculations, and supporting documentation to ensure accurate billing and proper client invoicing. Performed Accounts Receivable (AR) activities, including verifying client payments, applying payments to corresponding invoices, monitoring outstanding balances, and maintaining accurate payment records. Utilized FTNI to verify client payment transactions, investigate payment discrepancies, and confirm check payment records when payments required further validation. Managed client credits through GCR by documenting and processing credit amounts requiring refunds or returns to clients. Processed insurance premium financing transactions based on clients' selected financing arrangements, facilitating premium payments through financing companies. Processed direct bill transactions, billing corrections, reversals, credit and debit adjustments, and related billing reports. Handled commission processing for insurance carriers, producers, and agencies, ensuring accurate recording of applicable commission amounts. Performed account setup and maintenance in Applied EPIC, including PR/BR account setup and product credit processing. Utilized Applied EPIC, WRAP, FTNI, GCR, HUB Cloud, and SSR to support insurance billing, payment processing, credit management, and financing operations. Processed over million in invoices within three months and consistently ranked among the top performers in monthly invoicing production.
Ascendion - QBE Client, contract
Dec 2024 to Apr 2025
Processed high-volume CTP tax invoice claims by reviewing claim details, invoices, and supporting documentation for completeness and accuracy. Verified Australian Business Numbers (ABNs) and relevant documentation against established processing requirements. Reviewed claim information and supporting evidence to assess payment eligibility in accordance with established guidelines. Processed eligible claim payments following applicable procedures and workflow requirements. Identified incomplete, inaccurate, or inconsistent claim information and addressed discrepancies according to established procedures. Maintained accurate claim records and updated transaction statuses to support efficient claims processing. Monitored daily productivity using tracking tools and consistently handled over 120 claims per day. Utilized Guidewire ClaimCenter CC8, QDesk, Citrix, and Microsoft Office applications to support claims processing and documentation management.
RDCK MARKETING RESEARCH SERVICES, freelance
Apr 2023 to Oct 2023
Conducted qualitative and quantitative interviews. Ensured accuracy and confidentiality. Delivered reports and completed quotas.
AFNI - Farmers Insurance Client, full_time
Oct 2022 to Dec 2024
Processed high-volume insurance payment transactions, including OTBD, EI (Expressit), NSF (Non-Sufficient Funds), and back-out transactions, following established procedures. Processed over 150 back-out transactions daily, in addition to preparing and sending related customer letters. Updated customer banking details and personal information while maintaining accurate account records. Prepared and sent payment reminders and customer correspondence through letters and fax communications. Audited transactions processed by new agents, identified errors, and provided guidance to ensure accurate transaction handling. Investigated and resolved transaction discrepancies, including errors that could result in Out of Balance (OOB) conditions. Monitored transaction accuracy and followed established procedures to help maintain balanced and accurate payment records. Communicated directly with US-based clients to discuss new processes, clarify requirements, and coordinate workflow updates. Promoted to Subject Matter Expert (SME) after six months and provided process guidance and support to team members. Cross-trained and assisted with other work types when additional staffing support was needed.
Jebb_Closet, full_time
Aug 2020 to Jul 2023
Managed Shopee, TikTok, Facebook, and Lazada operations. Replied to customer concerns about orders and products. Designed posts, edited photos, scheduled content, ran Facebook ads. Handled cancellations, refunds, disputes, and tracking. Updated inventory, pricing, descriptions, and listings
Concentrix, full_time
Dec 2019 to Jan 2021
Assisted customers with mortgage payments and adjustments. Processed term changes and outbound follow‑ups.